AccountId: 011433970860 ContactId: fc5c8794-9dc7-48d7-bde0-e24a5e159803 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 143779 ms Total Talk Time (AGENT): 53968 ms Total Talk Time (CUSTOMER): 55496 ms Interruptions: 0 Overall Sentiment: AGENT=1.8, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/12/fc5c8794-9dc7-48d7-bde0-e24a5e159803_20250212T20:31_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] For calling APL, this is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi Ms. [PII], I'm calling from Mitchell I Center, and I'm trying to get a patients, um, general benefit and eligibility for like specialist copay. [AGENT][POSITIVE] Can I have your name and a callback number and I'll be able to assist you. [CUSTOMER][NEUTRAL] My name is [PII] and our phone number is [PII]. [CUSTOMER][NEUTRAL] You were aware [AGENT][NEUTRAL] Thank you, [PII]. And what is that member's policy number that you're inquiring eligibility for today? [CUSTOMER][NEUTRAL] It is 02505433. [AGENT][NEUTRAL] Could you verify the patient's name and date of birth? [CUSTOMER][NEUTRAL] It is [PII], I'm sorry. [AGENT][NEUTRAL] And you're calling to verify benefits eligibility, correct? [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] What is [PII]'s date of birth? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] You're calling to verify our office visits. This member's policy has 5 office visits per calendar year with $100 per visit, and this is not a guaranteed benefits, just a disclaimer of the policy's coverage. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And has she had any visits this year or no? [AGENT][NEUTRAL] She has, let me see. [AGENT][NEUTRAL] Um, [AGENT][NEUTRAL] Looks like she has had one. She's had one. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And you did say your name was [PII]? [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] Is there anything else that I can assist you with? No, ma'am, that's what we would pay up to $100 if it was like $125 we will pay up to. [CUSTOMER][NEUTRAL] And there's no deductibles, is there? [CUSTOMER][NEUTRAL] Yeah, I'll pay up. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I. [CUSTOMER][POSITIVE] Perfect all right thank you so much. [AGENT][POSITIVE] You're welcome. Thanks for calling APL and have a great day, [PII]. [CUSTOMER][POSITIVE] You too thank you. [AGENT][POSITIVE] Thanks. Goodbye. [CUSTOMER][NEUTRAL] Bye bye.